HomeMy WebLinkAboutZaweski, Thomas Fof Office for Volunteer Fire Policemen
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STATE OF NEW YORK '
SUFFOLK COUNTY
TOWN OF SOUTHOLD ~ ~ , .,' .'.-
I, Thomas F. Zaweski ' . ..... do solemnly swear (or affirm).. ~'.
(T~pe or .Print Nme)
that I will support the Constitution of the United States, and the Constitution of the State
of. New York, and that I will faithfully discharge the duties ~.f the office of Fire Policeman
of the ............... ..H..a..'9.~.~...~..u..c..~ ....................... Fire Department,' according to the belt of "
my ability.
Sworn to before me, this ........ day
Notary :. ..... : ..... ~
Signature . .-'~....'~....~.~.~.~....,...~...~.... :..~;.~ .......... t ......
'Address ...... ..~..../....'~........~...6,. .~,,~.. .,~'. .... '-~' '' '~' '&'' ;' ...............
~~ ~ ....
Original to be filed with Town (Village) Clerk.
Copy to be held by De~rtment Secreta~.
Date filed ~~~.~